Individual
JENNIFER ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
324 N QUEEN STREET, KINSTON, NC 28501-4932
(252) 522-9800
(252) 523-9790
Mailing address
PO BOX 2278, KINSTON, NC 28502-2278
(252) 522-9800
(252) 522-9854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200401567
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900437
—
NC
Enumeration date
08/02/2005
Last updated
10/04/2012
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